NPIMap

Organization Active NPI

Lincoln County Primary Care Center Inc

Doing business as Southern West Virginia Health System-Chapmanville

  • Federally Qualified Health Center (FQHC)
  • Chapmanville, WV
National Provider Identifier
1043010630
Registry record updated Sep 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
LINCOLN COUNTY PRIMARY CARE CENTER INC
Doing business as
Southern West Virginia Health System-Chapmanville
Practice address
40 Shae Ave
Chapmanville, WV 25508-9805
Phone
(304) 855-2211
Fax
(304) 855-2245
NPI assigned
Mar 14, 2025
Last updated
Sep 21, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Letitia Ann Weaver-Scites
Title
Human Resources
Phone
(304) 824-5806

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

40 Shae Ave
Chapmanville, WV 25508-9805

Mailing address

7400 Lynn Ave
Hamlin, WV 25523-1138
Phone (304) 824-5806

Other names 1

  • Southern West Virginia Health System-Chapmanville Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20121005000142 WV Part B Supplier - Clinic/Group Practice 6204821879 Receives reassigned benefits from 41 practitioners
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Chapmanvill, WV; Logan, WV; South Charleston, WV
O20251125000507 WV Part A Provider - Federally Qualified Health Center (FQHC) 6204821879 Practice locations: Chapmanville, WV

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1043010630. Details of each certification follow.

Federally qualified health center certification: CCN 581080

Legal name
LINCOLN COUNTY PRIMARY CARE CENTER INC
Doing business as
SOUTHERN WEST VIRGINIA HEALTH SYSTEM-CHAPMANVILLE
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Nov 13, 2025
Last certification
Nov 13, 2025
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Enrollment address
40 Shae Ave
Chapmanville, WV 25508-9805

Other NPIs with the same Medicare PAC ID 24

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

View all 24

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
51D2014254Southern West Virginia Health System -40 Shae Avenue, Chapmanville, WV 25508Certificate of waiverOct 4, 2026

National Provider Directory

National Provider Directory
Tax ID family
Lincoln Primary Care Ce22 organizations share this tax ID, including this one

Other organizations with this tax ID 21

Organizations that report the same tax identification number in the National Provider Directory.

View all 21

Locations

40 Shae Ave
Chapmanville, WV 25508
Phone (304) 855-2211

Ownership & related parties

All disclosed owners & managing parties 13

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Brian Vance Individual Corporate DirectorBoard Memeber Jul 1, 2020
Debrina Williams Individual Corporate DirectorBoard Memeber Jul 1, 2023
Jerry Lawson Individual Corporate DirectorBoard Memeber Jul 1, 2024
Letitia Weaver-Scites Individual W-2 Managing EmployeeCredentialing Coordinator Apr 11, 2012
Lisa Leach Individual W-2 Managing EmployeeAd;Ceo Mar 31, 2018
Ronald McGrady Individual Corporate OfficerCfo Jan 1, 2025
Adam Stollings Individual Corporate DirectorBoard Memeber Jul 1, 2025
Nancy Godby Individual Corporate DirectorBoard Memeber Jul 1, 2025
Priscilla Byrnside Individual Corporate DirectorBoard Memeber Jul 1, 2020
Christy Laxton Individual Corporate DirectorBoard Memeber Jul 1, 2023
Lori Huffman Individual Corporate DirectorBoard Memeber Jul 1, 2021
Karl Melkus Individual Corporate DirectorBoard Memeber Jul 1, 2023
Dana Snyder Individual Corporate DirectorBoard Memeber Jul 1, 2020

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1741910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789948800000",
    "number": "1043010630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7400 LYNN AVE",
            "city": "HAMLIN",
            "state": "WV",
            "postal_code": "255231138",
            "telephone_number": "304-824-5806",
            "fax_number": "304-824-5804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 SHAE AVE",
            "city": "CHAPMANVILLE",
            "state": "WV",
            "postal_code": "255089805",
            "telephone_number": "304-855-2211",
            "fax_number": "304-855-2245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINCOLN COUNTY PRIMARY CARE CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-14",
        "last_updated": "2026-09-21",
        "certification_date": "2026-09-21",
        "status": "A",
        "authorized_official_last_name": "WEAVER-SCITES",
        "authorized_official_first_name": "LETITIA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "HUMAN RESOURCES",
        "authorized_official_telephone_number": "304-824-5806"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southern West Virginia Health System-Chapmanville",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chapmanville, WV

Sources for this page

Verify at the official NPI Registry.